CNA-PRN

Administrative Functions

• Participates with the IDG in the development and implementation of the patient/family’s plan of care as requested.
• Perform all assigned tasks in accordance with Hospice policies and procedures, and as instructed by supervisor.
• Follow work assignments and/or work schedules in completing and performing assigned tasks.
• Make sure patient is as comfortable as possible at all times
• Changing bed linens when necessary and keep linens tight without wrinkles under the patient.
• Duties include assisting patients with daily mouth care, bath functions, dressing/undressing, hair care functions, non-diabetic nail care, shaving, toileting, feeding, giving back rubs, assisting with exercises and ambulation, applying elastic stockings and/or heel/elbow protectors, checking intake/output records, checking bowel movements and character of stools, preparing and giving enemas, assist with lifting, turning, moving, positioning, and transferring into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc., assisting with the care of the dying patient, providing post mortem care as instructed, observing and reporting the presence of pressure areas and skin breakdown, report injuries of unknown source, including skin tears, assisting with special treatments as instructed (i.e. indwelling catheter care, perineal care, nonsterile vaginal irrigation/douches, application of bandages, etc.).
• Document tasks performed and other comments related to visit.
• Communicate with family or facility staff to ensure nursing services can be adequately maintained to meet the needs of the patient.
• Create and maintain an atmosphere of warmth, personal interest and positive emphasis as well as a calm environment for the patient.
• Communicate with supervisor on regularly scheduled basis to assist in identifying areas of concern regarding patient care
• Report all complaints and grievances made by the patient/caregiver/family member.

Staff Development

• Attend and participate in hospice orientation and training.
• Attend and participate in scheduled training and educational classes to maintain current certification as a Nursing Assistant.
• Attend and participate in scheduled hospice orientation programs and activities, as directed.
• Attend and participate in annual in-service training programs required by Hospice policies and procedures.

Safety and Sanitation

• Participate in appropriate in-service training programs prior to performing tasks that involve potential exposure to blood/body fluids
• Wash hands before and after performing any service for any patient
• Follow established safety precautions in the performance of all duties.
• Clean, disinfect, and return all patient care equipment to its appropriate storage area
• Wear and/or use safety equipment and supplies per established policies (i.e. back brace, mechanical lifts, etc.) when lifting or moving patients
• Follow established procedures in the use and disposal of personal protective equipment.

Equipment and Supply Functions

• Use only the equipment you have been trained to use.
• Operate all equipment in a safe manner
• Use only the equipment and supplies necessary to do the job.  Do not be wasteful.
• Report defective equipment to supervisor.

Resident Rights

• Maintain the confidentiality of all patients and families at all times
• Ensure all patients are treated fairly, with kindness, dignity and respect.
• Ensure that all nursing care is provided in privacy.
• Honor the patient’s refusal of treatment request.  Report such requests to your supervisor.
• Knock before entering patient room.
• Report all allegations of patient abuse and/or misappropriation of patient property.

Working Conditions

• Works in office area(s), the community and long term care facilities.
• Moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is involved with patients, visitors, caregivers, family members, government agencies, etc., under all conditions and circumstances.
• Is subject to hostile and emotionally upset patients, family members, personnel, and visitors.
• Communicates with nursing personnel and other department personnel.
• Works beyond normal working hours, on weekends and holidays, when necessary.
• Is subject to call-back during emergency conditions.
• Attends and participates in continuing educational programs.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.

Experience

• Must be a licensed Certified Nursing Assistant in accordance with laws of Georgia.  One year experience as a C.N.A. under supervision preferred.

Specific Requirements

• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, patients, family members, visitors, government agencies, and the general public.
• Must possess the ability and willingness to work harmoniously with other personnel.
• Must have patience, tact, a cheerful disposition and enthusiasm, project warmth in the environment, as well as the willingness to handle difficult situations.
• Must not pose a direct threat to the health and safety of other individuals in the workplace.

Physical and Sensory Requirements

(With or Without the Aid of Mechanical Devices)

• Must be able to move intermittently throughout the work day.
• Must be able to speak and write the English language in an understandable manner.
• Must be able to cope with the mental and emotional stress of the position.
• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
• Must function independently and have flexibility, personal integrity, and the ability to work effectively with patients, personnel, and support agencies.
• Must meet the general health requirements set forth by the policies of this hospice which include a medical and physical examination.
• Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times hostile people.
• Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.
• May be necessary to assist in evacuation during emergency situations.